Future cardiologyPub Date : 2025-07-01Epub Date: 2025-06-18DOI: 10.1080/14796678.2025.2521183
Danish Saleh, Maeve Eskandari, Lubna Choudhury
{"title":"Aficamten in the treatment of obstructive hypertrophic cardiomyopathy.","authors":"Danish Saleh, Maeve Eskandari, Lubna Choudhury","doi":"10.1080/14796678.2025.2521183","DOIUrl":"10.1080/14796678.2025.2521183","url":null,"abstract":"<p><p>Aficamten is a novel cardiac myosin inhibitor that has completed a Phase III trial for the treatment of obstructive hypertrophic cardiomyopathy (HCM). Aficamten was developed to optimize pharmacokinetic properties and clinical tolerability relative to its predecessor, mavacamten. Mechanistically, aficamten decreases myocardial contractility by way of reducing cardiac myosin ATPase activity and the number of active actin-myosin cross bridges during the cardiac cycle. Clinically, aficamten improves cardiac hemodynamics and biomarker profiles while promoting favorable cardiac remodeling, augmenting exercise tolerance and improving overall health status. Observed systolic dysfunction was infrequent, mild, reversible, and not associated with serious adverse events. Collectively, the available data suggests that aficamten is a well-tolerated drug that shows strong clinical efficacy across a wide array of clinical parameters. In this review, we provide a comprehensive description of the pharmacology, clinical efficacy, and tolerability of aficamten.</p>","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"685-691"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future cardiologyPub Date : 2025-07-01Epub Date: 2025-06-24DOI: 10.1080/14796678.2025.2521993
Eli J Contorno, Herra Javed, Brian Reemtsen, T Konrad Rajab
{"title":"Pediatric partial heart xenotransplantation as an early use case of xenograft tissue.","authors":"Eli J Contorno, Herra Javed, Brian Reemtsen, T Konrad Rajab","doi":"10.1080/14796678.2025.2521993","DOIUrl":"10.1080/14796678.2025.2521993","url":null,"abstract":"<p><p>Xenotransplantation is a promising advancement in the field of transplantation that could eliminate deaths on the waitlist and provide an unlimited supply of on-demand organs for those in need of this life-saving therapy. The results of preclinical studies in orthotopic heart xenotransplantation have shown that non-human primate models can consistently survive 9 months post-transplant. However, early clinical results in orthotopic heart xenotransplantation have been subpar compared to traditional orthotopic heart transplantation as the longest surviving patient survived for 60 days with a complicated postoperative course. Partial heart xenotransplantation could serve as an earlier clinical use case of xenotransplantation products due to the many advantages of the neonate and infant population for xenotransplantation as well as the unique immunogenicity of heart valves which is significantly lower than that of whole hearts. The adoption of partial heart xenotransplantation would allow more children to realize the benefits of a valve that tolerates somatic growth without the need for serial reoperation.</p>","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"725-730"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future cardiologyPub Date : 2025-07-01Epub Date: 2025-06-24DOI: 10.1080/14796678.2025.2522587
Syed Mohammad Naqvi, Syed Yaseen Naqvi, Hashim Talib Hashim, Ali Shabu, Khayyam Akbar, Aous Hani Nief, Wael Tawfick
{"title":"Systematic review of the use of oral anticoagulants in patients with peripheral arterial disease.","authors":"Syed Mohammad Naqvi, Syed Yaseen Naqvi, Hashim Talib Hashim, Ali Shabu, Khayyam Akbar, Aous Hani Nief, Wael Tawfick","doi":"10.1080/14796678.2025.2522587","DOIUrl":"10.1080/14796678.2025.2522587","url":null,"abstract":"<p><strong>Background: </strong>Peripheral arterial disease (PAD) is a condition whereby the peripheral arteries of the body, and particularly the lower limbs, experience atherosclerosis resulting in narrowing of the peripheral arteries. This largely preventable condition is a major cause of cardiovascular morbidity and mortality, affecting over 230 million people worldwide.</p><p><strong>Methodology: </strong>We conducted a systematic search for randomized control trials on four databases: Medline, CINAHL, PubMed, and Embase. We compared the outcomes of anticoagulation therapy with standard care following PRISMA standards.</p><p><strong>Results: </strong>10,051 studies were identified, and through titles and abstract screening followed by full text screening, five studies involving 14,463 individuals were included. One study compared rivaroxaban with dose adjusted warfarin. Two studies compared a combination of rivaroxaban and low dose aspirin with antiplatelet therapy. These three demonstrated a reduction in major adverse cardiovascular events (MACE) and Major adverse limb events (MALE) when combined with Aspirin. However, they noted increased bleeding risk.</p><p><strong>Conclusion: </strong>Newer-generation direct oral anticoagulants in combination with antiplatelet therapy, may improve cardiovascular outcomes and reduce limb-related complications in patients with PAD. Further randomized controlled trials (RCTs) are needed to determine optimal dosing before guideline implementation.</p>","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"711-723"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future cardiologyPub Date : 2025-07-01Epub Date: 2025-06-06DOI: 10.1080/14796678.2025.2511416
Judit Andreka, Fazila-Tun-Nesa Malik, Mariam Khandaker, Kalim Uddin, Abdul Kayum, Anass Maaroufi, Dan Prunea, Zoltan Ruzsa, Gabor G Toth
{"title":"Stenting strategy and imaging use in left main percutaneous coronary intervention: insights from a 15-year registry.","authors":"Judit Andreka, Fazila-Tun-Nesa Malik, Mariam Khandaker, Kalim Uddin, Abdul Kayum, Anass Maaroufi, Dan Prunea, Zoltan Ruzsa, Gabor G Toth","doi":"10.1080/14796678.2025.2511416","DOIUrl":"10.1080/14796678.2025.2511416","url":null,"abstract":"<p><strong>Background: </strong>Left main (LM) percutaneous coronary intervention (PCI) remains a major interventional challenge, with outcomes influenced by various patient- and procedure-related factors.</p><p><strong>Objectives: </strong>To analyze procedural characteristics and outcomes of patients who underwent LM PCI over a 15-year period in a single center.</p><p><strong>Methods: </strong>We retrospectively analyzed data from all consecutive patients who underwent LM PCI between 2006 and 2022. Procedural details, with a focus on stenting technique, were collected. Primary outcome was all-cause mortality at 1 year.</p><p><strong>Results: </strong>In total 3494 patients were included. The majority (67%) presented with chronic coronary syndrome. Seventy-seven percent of all patients (n = 2690) underwent PCI by single stent (SS) strategy and 23% (n = 804) by double stent (DS) strategy. One-year mortality was significantly lower in SS cases compared to DS (3.5% vs. 5.1%, HR 0.64, 95% CI 0.43-0.96). Intravascular imaging was used in 17% of the cases but showed no significant difference in one-year mortality compared to angio-guided PCI (4.8% vs. 3.7%; HR 1.11, 95% CI 0.71-1.73).</p><p><strong>Conclusions: </strong>In real-world LM PCI practice, patients for whom a provisional single-stent strategy was feasible had better outcomes than those requiring a double-stent approach.</p>","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"693-700"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future cardiologyPub Date : 2025-07-01Epub Date: 2025-06-03DOI: 10.1080/14796678.2025.2514349
Lei Lv, Ty J Gluckman, Matthew Strum, Jigar Rajpura
{"title":"Perceptions of high-sensitivity C-reactive protein testing (hsCRP) in atherosclerotic cardiovascular disease: a US survey on cardiologists and nephrologists.","authors":"Lei Lv, Ty J Gluckman, Matthew Strum, Jigar Rajpura","doi":"10.1080/14796678.2025.2514349","DOIUrl":"10.1080/14796678.2025.2514349","url":null,"abstract":"<p><strong>Introduction: </strong>High-sensitivity C-reactive protein (hsCRP) is a biomarker of systemic inflammation (SI) and its elevated level is considered a risk-enhancing factor for cardiovascular disease in primary prevention. This study aimed to understand opinions of US clinicians using hsCRP testing in the management of patients with atherosclerotic cardiovascular disease (ASCVD) with or without chronic kidney disease (CKD).</p><p><strong>Materials & methods: </strong>Clinicians who ordered hsCRP testing with evaluation of patient-level data were surveyed, between June 2023-August 2023. Endpoints included self-identified drivers and barriers to hsCRP testing and assessment of posttest actions following SI recognition.</p><p><strong>Results: </strong>Common factors perceived to prevent hsCRP testing were a lack of evidence showing improvements in patient cardiovascular outcomes after addressing SI in ASCVD and CKD (50%), and lack of proven efficacy of hsCRP testing (33%). Barriers to hsCRP testing included cost, insurance coverage and patient refusal. The most common reason for not considering SI in clinical decision-making was that it would not affect management of ASCVD. After the first hsCRP testing, an average reduction of hsCRP level is observed, but not lower than 2 mg/L.</p><p><strong>Conclusions: </strong>In this limited study sample, perceived limitations of hsCRP testing included insufficient evidence of improved cardiovascular outcomes in patients with ASCVD.</p>","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"701-710"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future cardiologyPub Date : 2025-07-01Epub Date: 2025-06-23DOI: 10.1080/14796678.2025.2513805
Daniel Gaudet, Susanne Greber-Platzer, Laurens F Reeskamp, Gabriella Iannuzzo, Robert S Rosenson, Samir Saheb, Claudia Stefanutti, Erik Stroes, Albert Wiegman, Traci Turner, Shazia Ali, Poulabi Banerjee, Jennifer McGinniss, Alpana Waldron, Richard T George, Xue-Qiao Zhao, Robert Pordy, Eric Bruckert, Frederick J Raal
{"title":"Long-term safety and effectiveness of evinacumab in people with homozygous familial hypercholesterolemia: a plain language summary.","authors":"Daniel Gaudet, Susanne Greber-Platzer, Laurens F Reeskamp, Gabriella Iannuzzo, Robert S Rosenson, Samir Saheb, Claudia Stefanutti, Erik Stroes, Albert Wiegman, Traci Turner, Shazia Ali, Poulabi Banerjee, Jennifer McGinniss, Alpana Waldron, Richard T George, Xue-Qiao Zhao, Robert Pordy, Eric Bruckert, Frederick J Raal","doi":"10.1080/14796678.2025.2513805","DOIUrl":"10.1080/14796678.2025.2513805","url":null,"abstract":"","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"639-650"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144368796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future cardiologyPub Date : 2025-06-27DOI: 10.1080/14796678.2025.2526270
Konrad A J van Beek, Koen Teeuwen, Pim A Tonino
{"title":"The importance of post-dilatation during PCI: current evidence and future directions.","authors":"Konrad A J van Beek, Koen Teeuwen, Pim A Tonino","doi":"10.1080/14796678.2025.2526270","DOIUrl":"https://doi.org/10.1080/14796678.2025.2526270","url":null,"abstract":"","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"1-4"},"PeriodicalIF":1.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144511776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future cardiologyPub Date : 2025-06-01Epub Date: 2025-05-26DOI: 10.1080/14796678.2025.2490362
Martin S Maron, Iacopo Olivotto, Marion van Sinttruije
{"title":"A plain language summary of the SEQUOIA-HCM study: aficamten for symptomatic obstructive hypertrophic cardiomyopathy.","authors":"Martin S Maron, Iacopo Olivotto, Marion van Sinttruije","doi":"10.1080/14796678.2025.2490362","DOIUrl":"10.1080/14796678.2025.2490362","url":null,"abstract":"","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"415-432"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future cardiologyPub Date : 2025-06-01Epub Date: 2025-05-26DOI: 10.1080/14796678.2025.2509458
Julio I Farjat-Pasos, Marisa Avvedimento, Josep Rodes-Cabau
{"title":"An evaluation of the SavvyWire as a support wire for TAVR procedures.","authors":"Julio I Farjat-Pasos, Marisa Avvedimento, Josep Rodes-Cabau","doi":"10.1080/14796678.2025.2509458","DOIUrl":"10.1080/14796678.2025.2509458","url":null,"abstract":"<p><p>Transcatheter aortic valve replacement (TAVR) represents a minimally invasive alternative for the treatment of severe symptomatic aortic stenosis and is increasingly adopted in younger and lower-risk patients. A support guidewire placed in the left ventricle is required in all TAVR procedures, and rapid ventricular pacing is frequently used to ensure valve implant stability. Also, recent studies showed a correlation between post-TAVR hemodynamic gradients and clinical outcomes, underscoring the importance of accurate invasive measurements. The SavvyWire™ (Opsens Medical) is a novel support guidewire designed for TAVR procedures that integrates left ventricular pacing and invasive pressure measurement capabilities, enabling continuous hemodynamic monitoring and simplifying the procedure. This review outlines the SavvyWire's™ design features and summarizes clinical evidence supporting its use in TAVR procedures.</p>","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"579-584"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12150634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future cardiologyPub Date : 2025-06-01Epub Date: 2025-04-09DOI: 10.1080/14796678.2025.2490403
Cristina Madaudo, Daniel Bromage, Antonio Cannata
{"title":"Current and future landscape of heart failure management: understanding the present, unraveling the future.","authors":"Cristina Madaudo, Daniel Bromage, Antonio Cannata","doi":"10.1080/14796678.2025.2490403","DOIUrl":"10.1080/14796678.2025.2490403","url":null,"abstract":"","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":" ","pages":"405-409"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}